Neurological Rehabilitation Outpatients

Our occupational therapists can support patients with:

• Increasing independence in activities of daily living
• Assessment and treatment of cognitive difficulties e.g. memory, concentration and problem solving
• Vocational Rehab; including return to work
• Supporting return to leisure activities
• Fatigue management
• Splinting of a neurologically impaired upper limb (arm)
• Upper limb assessment and provision of functional activities
• Assessment and provision of adaptive equipment
• Assessing seating and provisional activities including wheelchairs
• Signposting to other services e.g. social services, voluntary sector, benefits agencies.

This may be done though individual or group sessions aimed at helping patients with self-care.

Our specialist services include assessing, diagnosing and delivering therapy for patients with communication and swallowing difficulties arising from neurological conditions.

We help patients achieve their full potential by working with them individually or in groups and will include relatives, carers and other professionals and agencies where appropriate.

We offer assessments and individually tailored therapy for:

• Aphasia

• Acquired dyslexia, dysgraphia and dyscalculia

• Apraxia of speech

• Dysarthria

• Cognitive-linguistic disorder

• Dysphagia (swallowing difficulties)

Our team of highly specialist neuro physiotherapists can help patients who are having difficulty with their balance, mobility, muscle weakness, pain, reduced fitness and stamina. Additionally we support patients with tonal changes (spasticity or flaccidity), muscle and joint stiffness and completing everyday tasks (e.g transferring from seating positions, standing, walking).

Our support can include:

• Re-education of normal movement strategies
• Gait re-education (helping patients learn to walk normally again, including using walking aids and treadmill training).
• Facilitating patient’s movement with highly specialised handling techniques
• Designing individual exercise programmes guided with updated evidence based guidelines
• Advice on self-management of your condition
• Access to a gym
• Group sessions: Balance and Pilates
• Electric muscle stimulation (a treatment that may benefit people who have difficulty moving due to damage to their brain or spinal cord).
• Acupuncture

Acceptance criteria:-

• Are registered with a Nottingham area GP (the areas covered by the Nottingham City and South Nottinghamshire).
• A confirmed neurological diagnosis. 
• Patients with Functional Neurological Disorder must have a formal diagnosis from a Neurologist and the patient must be accepting of this diagnosis. 
• Clearly defined rehabilitation goals, clearly linked to the patient’s primary neurological diagnosis.
• Patient must be able to attend the out-patient setting for treatment. 
• Patient must be able to actively engage in the rehabilitation process. 
• Adults over 18, or patients age 16-18 choosing to be treated within adult services.
• Speech Therapy only – referrals can be made by a Consultant Neurologist for a one-off assessment to inform a differential diagnosis. 

Exclusion criteria

• GP Referrals
• Dominant impairment is not due to a primary neurological condition e.g. primary dementia intellectual disability, developmental co-ordination disorder.
• No significant change since last discharged from the service.
• Rehab goals that would be more appropriately met by community based service. 
• Conditions where other specialist diagnosis specific services exist i.e. Parkinson’s Disease and Stroke.
• Patients with a pure facial palsy.

Referrals will be accepted from:

• Consultants in Neurology and Rehabilitation Medicine (Should a consultant consider this service appropriate for your patient, please contact the team to discuss).
• NUH inpatient wards
• Other health and social care professionals (where appropriate) 

Internal referrals

From within NUH please compelte an e-referral on notis using the code NROP. Please follow the on-screen instructions and give us as much relevant information as possible on the patients current condition on the intial clinical details screen.

External referrals

For external referrals please contact the team to discuss suitability of referral via telephone, email (nuhnt.NROPTeam@nhs.net) or post.

External agencies please download and complete the referral form. This can be emailed to nuhnt.NROPTeam@nhs.net or alternatively posted to:

Neuro Rehabilitation Outpatient team
Linden Lodge City Campus
Nottingham University Hospitals NHS Trust
Hucknall Road
Nottingham
NG5 1PB

If you are unsure whether patients are located in South Nottinghamshire please see the link below: South Nottinghamshire Place-Based Partnership (PBP) - NHS Nottingham and Nottinghamshire ICS - NHS Nottingham and Nottinghamshire ICS (healthandcarenotts.co.uk)

Neurological rehabilitation outpatients team Tel: 0115 9936630

City Hospital team Tel: 0115 9691169 ext 59880 

Open: Monday-Tuesday  8am to 5pm and Wednesday-Friday from 8am-4pm